Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 251540 | NY |
Y | 111NI0900X | Internist | 251540 | NY |
N | 207RI0200X | Infectious Disease | 251540 | NY |
NPI | 1063724185 |
---|---|
Provider Name | Marianne Laguerre |
First Address | Moultrie, GA 31768-6798 |
Second Address | Moultrie, GA 31768-6798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2010 |
Last Update Date | 22/08/2016 |